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Constipated Stools, Done Colonoscopy, Have IBS. Treatment?
I am suffering from greasy pasty fatty sticky constipated stools( NOT diarrhea sticky stools). Very difficult to evacuate my stools from instestine as my stools seems to contain undigested fat(might be steatorrhea or mal absobption). I went to gastroentrologist and had my colonoscopy . I was told by doctor that I do not have any problem in intestines or rectum . I was told by the doctor that I have little IBS problem. But I dont think so. Nothing has Improved, I feel some problem with Pancreas or liver. I have very less digestion these days, and very difficult to evacuate my stools becoz of greasy,fatty in nature. Previously I am a constipated patient from last 10 years, But I cured a lot by doing pranayam and yoga and Improved my intestine moments a lot. Suddenly for last 2 months I am suffering from greasy fatty sticky stools(incomplete bowls also) which I never had this problem in my life other than constipation. I take fibre food everyday with low fat yogurt along with good amount of water. Please suggest me right prescription and treatment for my disease. Kind Regards, Raj Shekhar, Hyderabad.
Thu, 11 Apr 2019
Hi,
Noted your detailed history about IBS, colonoscopy, opinion of a Gastroenterologist, getting control with but now fatty greasy stools with constipation, incomplete evacuation for the last 2 days.
The commonest causes can be:
IBS as you had it.
Change of bowel habits due to changed lifestyle, working and so on.
Pancreatic insufficiency can cause fatty and undigested material appear in stool.
Hence I would advise you the following in such a situation:
Consult a Gastroenterologist again for clinical evaluation.
Investigations of blood for routine tests, diabetes, thyroid, liver and pancreas function.
Tests of stool.
CT scan of abdomen.
Review colonoscopy and biopsy if needed.
All these things will lead to a proper diagnosis and thus have a plan of proper management.
Identify the foods and beverages that cause the problems and stop these.
Take stool softeners and laxative as per requirement.
Reduce stress and anxiety.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. T Chandrakant,
General Surgeon
Noted your detailed history about IBS, colonoscopy, opinion of a Gastroenterologist, getting control with but now fatty greasy stools with constipation, incomplete evacuation for the last 2 days.
The commonest causes can be:
IBS as you had it.
Change of bowel habits due to changed lifestyle, working and so on.
Pancreatic insufficiency can cause fatty and undigested material appear in stool.
Hence I would advise you the following in such a situation:
Consult a Gastroenterologist again for clinical evaluation.
Investigations of blood for routine tests, diabetes, thyroid, liver and pancreas function.
Tests of stool.
CT scan of abdomen.
Review colonoscopy and biopsy if needed.
All these things will lead to a proper diagnosis and thus have a plan of proper management.
Identify the foods and beverages that cause the problems and stop these.
Take stool softeners and laxative as per requirement.
Reduce stress and anxiety.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. T Chandrakant,
General Surgeon
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